Uttar Pradesh Combined Entrance Test For UG- 2021

Confirmation Page

Application No. 2125 1002 3474 -

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Personal Details /
Name : SANGRAM MAURYA Date of Birth : 05-04-1998
Mother's Name : POONAM MAURYA Category : UPBC
Father's Name : SHRI PRAKASH MAURYA Gender : Male
SubCategory : Not Applicable Nationality : Indian
Rural weightage claimed : No Parent Domicile : UTTAR PRADESH
Qualifying examination passed/appeared UTTAR PRADESH
from college situated in :

Applying For :
Apply For : UG Qualifying Exam : DIPLOMA (ENGG. and TECHNOLOGY)
Entrance Examination City UTTAR PRADESH - GREATER NOIDA Entrance Examination City UTTAR PRADESH - NOIDA
1st : 2nd :
Entrance Examination City UTTAR PRADESH - VARANASI Entrance Examination City UTTAR PRADESH - ALLAHABAD/ PRAYAGRAJ
3rd : 4th :

Education Details :
Qualification Pass Status Course/Stream Board/University Year of Result Marks Detail RollNo/ Institute Institute
Name Name Passing/appe Mode Enroll Name & Pincode
aring No. Addres
s
DIPLOMA Passed DIPLOMA (ENGG. Any Recognised Board/ 2020 Percentage Obtained Marks: 1731 E17693 Govern 245304
(ENGG. and and University/ Open school Total Marks: 2322 3480003 ment
TECHNOLOG TECHNOLOGY) - BTE UP LUCKNOW Percentage: 74.55 6 Polytech
Y) nic
Hindalp
ur
Pilkhuw
a Hapur
245304

Seeking Admission & Course Applied For Details

Seeking Admission For SECOND YEAR
2nd Year (Lateral Entry) B.Tech. 2nd Year (For Diploma Holder In Engg.)

Present Address :
Communication SALARPUR RASULGARH SARNATH VARANASI Locality : SALARPUR RASULGARH SARNATH VARANASI
Address :
City/Town/Village : SALARPUR Country India
State : UTTAR PRADESH District : VARANASI
Pin Code : 221007 Email Address : san************@gmail.com
Mobile Number : 735****897 Land Line No. with --
(+91) STD Code :

Fee Payment Details

Payment Mode: Pay through PAYTM Transaction ID: 20210516111212800110168378205348
083
Exam Fee: 1300 /- Date of Transaction: 16/05/2021 02:41:57
Fee Submitted On: 16/05/2021
DECLARATION
I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief. I have read and understood the Board
procedures. I shall abide by the terms and conditions thereon.

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IP Address : 169.149.243.66 Date of Downloading : 18/09/2021 12:15:31 AM